Yang Zhen Lu, Zhang Long Jiang
Department of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, 210002, China.
Eur Radiol. 2016 Oct;26(10):3534-41. doi: 10.1007/s00330-015-4202-5. Epub 2016 Jan 15.
Imaging plays an increasingly important role in the early diagnosis, prognosis prediction and therapy response evaluation of central nervous system (CNS) diseases. The newly emerging hybrid positron emission tomography/magnetic resonance imaging (PET/MRI) can perform "one-stop-shop" evaluation, including anatomic, functional, biochemical and metabolic information, even at the molecular level, for personalised diagnoses and treatments of CNS diseases. However, there are still several problems to be resolved, such as appropriate PET detectors, attenuation correction and so on. This review will introduce the basic physical principles of PET/MRI and its potential clinical applications in the CNS. We also provide the future perspectives for this field.
• PET/MRI can simultaneously provide anatomic, functional, biochemical and metabolic information. • PET/MRI has promising potential in various central nervous system diseases. • Research on the future implementation of PET/MRI is challenging and encouraging.
成像在中枢神经系统(CNS)疾病的早期诊断、预后预测和治疗反应评估中发挥着越来越重要的作用。新出现的正电子发射断层扫描/磁共振成像(PET/MRI)能够进行“一站式”评估,包括解剖、功能、生化和代谢信息,甚至在分子水平,以实现中枢神经系统疾病的个性化诊断和治疗。然而,仍有几个问题有待解决,如合适的PET探测器、衰减校正等。本综述将介绍PET/MRI的基本物理原理及其在中枢神经系统中的潜在临床应用。我们还提供了该领域的未来展望。
•PET/MRI可同时提供解剖、功能、生化和代谢信息。•PET/MRI在各种中枢神经系统疾病中具有广阔的潜力。•PET/MRI未来实施的研究具有挑战性且令人鼓舞。